Colleen I Kennedy, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7325 Issued in TX

Practice address

4450 Tubbs Rd
Rockwall, TX 75032-6308

Phone

(214) 775-1356

Fax

(214) 613-2231

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colleen I. Kennedy, MD, PA

  • Surgery Physician
  • Rockwall, TX
  • NPI 1033448295
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Michael Allison, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1336144724

  Hospital

  Care Compare affiliation
• Baylor Regional Medical Center at Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1184663163

  Hospital

  Care Compare affiliation
• Albert C Broders III, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1699721415

  Hospital

  Care Compare affiliation
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267

  Hospital

  Care Compare affiliation
• Allan Odell Cook Jr., M.D.

  • Vascular Surgery Physician
  • Richardson, TX
  • NPI 1902842008

  Hospital

  Care Compare affiliation
• Bobby Huynh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
  • NPI 1114035383

  Hospital

  Care Compare affiliation
• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  Hospital

  Care Compare affiliation
• Rockwall Regional Hospital, LLC

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  Care Compare affiliation
• Fayez G Seif, MD

  • Gastroenterology Physician
  • Mesquite, TX
  • NPI 1861591604

  Hospital

  Care Compare affiliation
• Johnny Lee White Jr., MD

  • Interventional Pain Medicine Physician
  • Odessa, TX
  • NPI 1336252477

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1508897810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "214-775-1356",
            "fax_number": "214-613-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "214-775-1356",
            "fax_number": "214-613-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "COLLEEN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.15581R",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles B Keith, D.C.
• Kylee Keller, LPC-ASSOCIATE
• Bryan Kelley, PTA
• Ashley Michelle Kemp, NP
• Sameia Kendall, DPT
• Courtney Kennedy, OTR
• Ketan P. Parekh DDS, PA
• Camryn Key
• Tara Meetra Khalili
• Bilal Ahmed Khan, M.D.

• Surgery Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.